Claims associate, medical summarizer - Cxc solutions pvt ltd
(2024-06-21 - 2025-12-04)
Claims Process Associate (FMLA)
- Process FMLA claims according to federal and state guidelines, ensuring all documentation is accurate and timely.
- Review employee leave requests and medical documentation to determine FMLA eligibility and entitlement.
- Work closely with employees, managers, and healthcare providers to clarify any discrepancies in submitted documentation.
- Track and monitor FMLA leave balances and maintain detailed records to ensure compliance with leave policies.
- Provide exceptional customer service to employees by answering inquiries regarding FMLA claims and leave status.
- Assist in educating employees and managers on FMLA guidelines, requirements, and procedures.
- Ensure proper documentation retention and confidentiality in line with company policies and legal standards.
- Collaborate with HR and other departments to ensure smooth administration of leave processes.
- Resolve claims-related issues, escalating complex cases to senior team members or HR as needed.
- Read discharge summaries, clinical notes, lab reports, and case histories.
- Extracted key clinical details such as diagnosis, treatment procedures, medications, and patient history with high accuracy.
- Created concise and well-structured medical summaries for use in insurance claims and healthcare documentation.
- Ensured 100% confidentiality and compliance with data protection standards.
- Maintained quality standards by following company guidelines and formatting protocols.
- Collaborated with quality analysts and reviewers to improve accuracy and reduce errors.
- Handled multiple cases daily while meeting strict deadlines and productivity targets.
- Improved typing speed and medical terminology knowledge through daily work exposure.
Senior associate (medical summarizer) - Innodata India pvt ltd
(2026-01-27 - 2026-02-11)
- Read medical reports and patient records
- Pick important details (symptoms, diagnosis, treatment)
- Write short and clear summaries
- Remove unnecessary information
- Make sure all details are accurate
- Keep patient information confidential
- Help doctors, insurance teams, or companies understand reports quickly
